Jacob Michael Diedrich, OD
NPI #1407415599 in Sioux City, Iowa
Provider Information
- NPI Number
- 1407415599
- Entity Type
- Individual
- Name
- Jacob Michael Diedrich, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Jun 11, 2019
- Last Updated
- Feb 17, 2021
Practice Location
- Address
- 5001 SERGEANT RD STE 45
- City
- Sioux City
- State
- Iowa
- ZIP Code
- 51106-4777
- Phone
- (712) 224-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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